Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 4/E Chapter 48

Question 1 Type: MCMA The nursing instructor teaches the student nurses about the structure and function of the skin. What will the best teaching plan of the instructor include? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. The outermost layer of the epidermis serves as the ma or waterproof barrier to the environment. 2. The epidermis provides a foundation for the accessory structures such as hair and nails. 3. The amount of subcutaneous tissue varies! and is determined by nutritional status and heredity. 4. Most receptor nerve endings! oil glands! sweat glands! and blood vessels are found within the subcutaneous fat. . The deepest epidermal layer provides new cells. Corre!t Ans"er: "!#!$ #ationa$e 1% The outermost layer of the epidermis! or stratum coneum! forms an effective barrier. Most substances cannot penetrate this barrier. #ationa$e 2% The dermis! not the epidermis! provides a foundation for the accessory structures such as hair and nails. #ationa$e 3% The amount of subcutaneous tissue varies! and is determined by nutritional status and heredity. #ationa$e 4% Most receptor nerve endings! oil glands! sweat glands! and blood vessels are found within the dermis! not the subcutaneous fat. #ationa$e % The deepest epidermal sublayer supplies the epidermis with new cells after older superficial cells have been damaged or lost through normal wear. %$o&a$ #ationa$e: Co'niti(e )e(e$: Applying C$ient *eed: &hysiological 'ntegrity C$ient *eed Su&: &hysiological Adaptation *ursin'/+nte'rated Con!epts: (ursing &rocess% &lanning )earnin' ,ut!ome: )*+"
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Question 2 Type: MCSA The client asks the nurse how skin cells are replaced. What is the best response by the nurse? 1. 0The epidermis supplies new cells after older cells have been damaged or lost.0 2. 0The dermis supplies new cells after older cells have been damaged or lost.0 3. 0The stratum corneum supplies new cells after older cells have been damaged or lost.0 4. 0The stratum germinativum supplies new cells after older cells have been damaged or lost.0 Corre!t Ans"er: " #ationa$e 1% The deepest epidermal sublayer! the stratum basale! supplies the epidermis with new cells after older superficial cells have been damaged or lost through normal wear. #ationa$e 2% The deepest epidermal sublayer! the stratum basale! not the dermis! supplies the epidermis with new cells. #ationa$e 3% The deepest epidermal sublayer! the stratum basale! not the stratum corneum! supplies the epidermis with new cells. #ationa$e 4% The deepest epidermal sublayer! the stratum basale! not the stratum germinativum! supplies the epidermis with new cells. %$o&a$ #ationa$e: Co'niti(e )e(e$: Applying C$ient *eed: &hysiological 'ntegrity C$ient *eed Su&: &hysiological Adaptation *ursin'/+nte'rated Con!epts: (ursing &rocess% 'mplementation )earnin' ,ut!ome: )*+. Question 3 Type: MCSA The client has scabies. The nurse has taught the client about safety in using topical scabicide medications! and evaluates that teaching has been effective when the client makes which statement? 1. 0' should cover the area with a clean cloth.0 2. 0' will need help in showering to remove the lotion.0 3. 0' need to sign a consent for this medication.0
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4. 0' must avoid putting this lotion on my face.0 Corre!t Ans"er: ) #ationa$e 1% 't is not necessary to cover the area with a cloth. #ationa$e 2% The client should not need assistance to shower. #ationa$e 3% A consent is not necessary for these medications. #ationa$e 4% These medications are irritating to sensitive skin and eyes! so the facial area should be avoided. %$o&a$ #ationa$e: Co'niti(e )e(e$: Analy1ing C$ient *eed: &hysiological 'ntegrity C$ient *eed Su&: &harmacological and &arenteral Therapies *ursin'/+nte'rated Con!epts: (ursing &rocess% -valuation )earnin' ,ut!ome: )*+# Question 4 Type: MCMA The client receives a topical medication for treatment of an acne+like skin disorder. The nurse completes medication education and evaluates learning has occurred when the client makes which statements? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. 0My daughter has a similar problem so she can use this too.0 2. 0' will call my doctor if ' notice a change in my symptoms.0 3. 0' will apply the medication only to the affected area.0 4. 0' do not need to shower prior to using this medication.0 . 0My medication only needs to be applied once a day.0 Corre!t Ans"er: .!# #ationa$e 1% Clients should not share medications2 the daughter should have an evaluation herself. #ationa$e 2% The client must notify the physician if the symptoms change. #ationa$e 3% Medications can be irritating so they should be applied only to the affected area.
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#ationa$e 4% The medication should be applied to clean skin! so it is a good idea to shower prior to using this medication. #ationa$e % Some topical medications need to be applied more than once a day. %$o&a$ #ationa$e: Co'niti(e )e(e$: Analy1ing C$ient *eed: &hysiological 'ntegrity C$ient *eed Su&: &harmacological and &arenteral Therapies *ursin'/+nte'rated Con!epts: (ursing &rocess% -valuation )earnin' ,ut!ome: )*+# Question Type: MCSA The nurse3s neighbor has a severe sunburn and cannot sleep. What is the best advice by the nurse? 1. 0Apply emollients to keep the skin moist until it heals.0 2. 0Call your physician for a prescription for pain medication.0 3. 0Take acetaminophen 4Tylenol5 or ibuprofen 4Advil5 for pain.0 4. 0Apply a local anesthetic to the area that is sunburned.0 Corre!t Ans"er: ) #ationa$e 1% -mollients will not stop the pain of the sunburn. #ationa$e 2% The client does not need a prescription pain medication. #ationa$e 3% Acetaminophen 4Tylenol5 or ibuprofen 4Advil5 are good medications! but this is not the best answer. #ationa$e 4% A local anesthetic will relieve the pain and allow the neighbor to sleep.. %$o&a$ #ationa$e: Co'niti(e )e(e$: Applying C$ient *eed: &hysiological 'ntegrity C$ient *eed Su&: &harmacological and &arenteral Therapies *ursin'/+nte'rated Con!epts: (ursing &rocess% 'mplementation )earnin' ,ut!ome: )*+) Question Type: MCSA
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The client calls the clinic and is frantic that her two children have been sent home from school with head lice. She has treated their scalps! but does not know what else to do. What will be the best teaching by the nurse? 1. 0Wash the bed linens and clothing that have come into contact with the children.0 2. 06ust continue to apply the medication to their scalps as directed.0 3. 07o not let your children return to the school until it is fumigated.0 4. 0'solate the affected children from other family members for three days.0 Corre!t Ans"er: " #ationa$e 1% 8ice are spread by direct contact and can live many days on inanimate ob ects. The children could be re+infected if household items are not treated. #ationa$e 2% 't is not necessary to continue applying medication to the children3s scalps. #ationa$e 3% 9ead lice are spread by direct contact2 it is not necessary to fumigate the school. #ationa$e 4% 't is not necessary to isolate the affected children. %$o&a$ #ationa$e: Co'niti(e )e(e$: Applying C$ient *eed: &hysiological 'ntegrity C$ient *eed Su&: &harmacological and &arenteral Therapies *ursin'/+nte'rated Con!epts: (ursing &rocess% &lanning )earnin' ,ut!ome: )*+# Question . Type: MCSA The client is recovering from a severe sunburn. What will the best teaching by the nurse include? 1. 0Apply lotion or oil to your skin the ne:t time you go out into the sun.0 2. 0Apply a sunscreen when you are going to be in the sun.0 3. 07o not go out into the sun again2 you are more susceptible to burn again.0 4. 0;se a water+soluble sunscreen the ne:t time that you go out into the sun.0 Corre!t Ans"er: . #ationa$e 1% 8otion or oil will keep the skin moist! but will not prevent another sunburn.
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#ationa$e 2% Sunscreens are used to protect the skin from e:cessive sun e:posure. #ationa$e 3% 't is not necessary to avoid the sun! but precautions should be taken. #ationa$e 4% Sunscreens should be water+resistant! not water+soluble. %$o&a$ #ationa$e: Co'niti(e )e(e$: Applying C$ient *eed: &hysiological 'ntegrity C$ient *eed Su&: &harmacological and &arenteral Therapies *ursin'/+nte'rated Con!epts: (ursing &rocess% 'mplementation )earnin' ,ut!ome: )*+$ Question 8 Type: MCSA A teenager is taking isotretinoin 4Accutane5 for treatment of severe acne. The nurse has completed medication education with her mother! and evaluates additional learning is re<uired when the mother makes which statement? 1. 0We can e:pect that her skin will be less oily.0 2. 0She needs to be on a reliable method of birth control now.0 3. 0At least ' do not need to worry about her self+concept now.0 4. 0' will pay particular attention to her mood now.0 Corre!t Ans"er: # #ationa$e 1% 'sotretinoin 4Accutane5 decreases oil production. #ationa$e 2% 'sotretinoin 4Accutane5 is &regnancy Category =. #ationa$e 3% Severe depression with resulting suicidal ideation can be caused by this drug2 the mother must pay attention to her mood. #ationa$e 4% 'sotretinoin 4Accutane5 can cause severe depression with resulting suicidal ideation2 the mother needs to talk to her daughter about her self+concept. %$o&a$ #ationa$e: Co'niti(e )e(e$: Analy1ing C$ient *eed: &hysiological 'ntegrity C$ient *eed Su&: &harmacological and &arenteral Therapies *ursin'/+nte'rated Con!epts: (ursing &rocess% -valuation )earnin' ,ut!ome: )*+$
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Question / Type: MCSA The client receives topical glucocorticoids for the treatment of dermatitis. The nurse has completed medication education and evaluates that learning has occurred when the client makes which statement? 1. 0A pill would be more effective than this messy lotion that ' have to use.0 2. 0'f this medication doesn3t help me! there is nothing left to try.0 3. 0;se of this lotion is really a lot safer and more effective than a pill.0 4. 08ong+term use of this lotion can lead to dependence on the drug.0 Corre!t Ans"er: # #ationa$e 1% Topical agents! not oral agents! are the most effective treatment for dermatitis. #ationa$e 2% 'f topical medications are ineffective! they can be augmented with oral agents. #ationa$e 3% Topical agents are less likely to cause systemic effects than are oral medications! so they are safer and they are more effective.. #ationa$e 4% 7ependence does not occur with glucocorticoids. %$o&a$ #ationa$e: Co'niti(e )e(e$: Analy1ing C$ient *eed: &hysiological 'ntegrity C$ient *eed Su&: &harmacological and &arenteral Therapies *ursin'/+nte'rated Con!epts: (ursing &rocess% -valuation )earnin' ,ut!ome: )*+# Question 10 Type: MCSA The mother of a young child calls the clinic and tells the nurse that she has ust discovered head lice in her daughter3s hair. What is the best instruction by the nurse? 1. 0&urchase an over+the+counter lice medication and follow the package directions e:actly.0 2. >Take her to your beautician for treatment.? 3. >@ring her to the clinic for evaluation.?

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4. ?@e certain to eliminate all the lice with the first application of medication as treatment cannot be done again for a month.? Corre!t Ans"er: " #ationa$e 1% &ackage directions should be followed e:actly. #ationa$e 2% 8ice are easily spread. -:posing those in the beauty shop to lice is not the best plan. #ationa$e 3% 't is easy to identify lice at home and instruction for treatment can be given over the telephone. 8ice are easily spread! so it is not the best plan to have the child in the clinic waiting room. #ationa$e 4% Treatment can be repeated! usually in one week! if necessary. %$o&a$ #ationa$e: Co'niti(e )e(e$: Applying C$ient *eed: &hysiological 'ntegrity C$ient *eed Su&: &harmacological and &arenteral Therapies *ursin'/+nte'rated Con!epts: (ursing &rocess% 'mplementation )earnin' ,ut!ome: )*+A Question 11 Type: MCSA A client has psoriasis. &rior to beginning education! the nurse assesses the client. Which statement indicates the client has a correct knowledge base about his illness? 1. 0' wish there were some way besides medications to treat my psoriasis.0 2. 0Treatment can help lessen the discomfort of my psoriasis.0 3. 0Systemic medications are the only medications that are effective.0 4. 0(o medications are effective for treating my disorder.0 Corre!t Ans"er: . #ationa$e 1% . ;ltraviolet light is also effective as an alternative to medication. #ationa$e 2% There are some medications that are effective in treating psoriasis. #ationa$e 3% Topical medications are also effective for treating psoriasis. #ationa$e 4% At this time! treatment can help lessen the discomfort of psoriasis. %$o&a$ #ationa$e:
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Co'niti(e )e(e$: Analy1ing C$ient *eed: &hysiological 'ntegrity C$ient *eed Su&: &harmacological and &arenteral Therapies *ursin'/+nte'rated Con!epts: (ursing &rocess% -valuation )earnin' ,ut!ome: )*+$ Question 12 Type: MCSA The mother of a client with head lice has completed the applications of topical medication. What is the best instruction by the nurse at this time? 1. 0Beep your child3s hair short so it will be easier to treat ne:t time.0 2. 0Cou are fine now2 ust watch your child for a re+infection.0 3. 0Check the heads of your child3s friends before allowing them to play together.0 4. 0Demove all nits from the hair shaft with a nit comb or a fine+tooth comb.0 Corre!t Ans"er: ) #ationa$e 1% There is no need to cut the child3s hair! ust remove the nits from the child3s hair shaft. #ationa$e 2% The treatment is not complete until the nits are removed from the hair shaft2 the mother is not finished. #ationa$e 3% The mother does not need to check the friendsE hair. #ationa$e 4% After the shampoo treatment! the mother should remove all nits from the hair shaft with a nit comb or a fine+tooth comb. %$o&a$ #ationa$e: Co'niti(e )e(e$: Applying C$ient *eed: &hysiological 'ntegrity C$ient *eed Su&: &harmacological and &arenteral Therapies *ursin'/+nte'rated Con!epts: (ursing &rocess% 'mplementation )earnin' ,ut!ome: )*+A Question 13 Type: MCSA The physician orders lindane 4Bwell5 for nursing home clients who have contracted head lice. The nurse will contact the physician when one of the clients has which medical diagnosis?
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1. 7iabetes mellitus 2. Sei1ures 3. Stroke 4. 9ypothyroidism Corre!t Ans"er: . #ationa$e 1% There is no contraindication to the use of lindane 4Bwell5 in a client with diabetes mellitus. #ationa$e 2% 8indane 4Bwell5 can cause serious nervous system to:icity and should not be used in clients with sei1ure disorder. #ationa$e 3% . There is no contraindication to the use of lindane 4Bwell5 in a client who has had a stroke. #ationa$e 4% There is no contraindication to the use of lindane 4Bwell5 in a client with hypothyroidism. %$o&a$ #ationa$e: Co'niti(e )e(e$: Analy1ing C$ient *eed: &hysiological 'ntegrity C$ient *eed Su&: &harmacological and &arenteral Therapies *ursin'/+nte'rated Con!epts: (ursing &rocess% 'mplementation )earnin' ,ut!ome: )*+$ Question 14 Type: MCSA The primary function of the epidermis is to 1. provide foundation for hair growth. 2. insulate the body. 3. provide a source of energy. 4. form a protective barrier to foreign matter. Corre!t Ans"er: ) #ationa$e 1% The dermis provides for hair growth. #ationa$e 2% The subcutaneous layer insulates the body. #ationa$e 3% The subcutaneous layer provides energy.
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#ationa$e 4% The epidermis is the outermost layer! and provides a protective barrier to foreign material and bacteria. %$o&a$ #ationa$e: Co'niti(e )e(e$: Demembering C$ient *eed: &hysiological 'ntegrity C$ient *eed Su&: &hysiological Adaptation *ursin'/+nte'rated Con!epts: (ursing &rocess% Assessment )earnin' ,ut!ome: )*+" Question 1 Type: MCSA Skin cells in the epidermis are replaced and supplied by the 1. stratum lucidum. 2. dermis basale. 3. melanocytes. 4. stratum basale. Corre!t Ans"er: ) #ationa$e 1% The stratum lucidum is the middle layer. #ationa$e 2% This is not the layer that supplies new cells. #ationa$e 3% Melanocytes provide pigment. #ationa$e 4% The stratum basale is the deepest layer! and provides new skin cells. %$o&a$ #ationa$e: Co'niti(e )e(e$: Demembering C$ient *eed: &hysiological 'ntegrity C$ient *eed Su&: *ursin'/+nte'rated Con!epts: )earnin' ,ut!ome: )*+. Question 1Type: MCSA 7ermatitis is characteri1ed by
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1. flaky! silver scales. 2. swelling of nasal tissues. 3. small papules. 4. pruritus. Corre!t Ans"er: ) #ationa$e 1% &soriasis produces red pla<ues with silver scales. #ationa$e 2% Dosacea psoriasis causes swelling around the nasal tissue. #ationa$e 3% Dosacea produces small papules with no pus. #ationa$e 4% 7ermatitis is characteri1ed by redness! pain! and pruritus. %$o&a$ #ationa$e: Co'niti(e )e(e$: Demembering C$ient *eed: &hysiological 'ntegrity C$ient *eed Su&: &hysiological Adaptation *ursin'/+nte'rated Con!epts: (ursing &rocess% Assessment )earnin' ,ut!ome: )*+# Question 1. Type: MCSA The nurse will know that a client with head lice understands principles of scabicides when she can discuss 1. contraceptive measures. 2. proper application with gloves. 3. sun protection. 4. antifungal creams. Corre!t Ans"er: . #ationa$e 1% Contraceptive measures are not necessary with the scabicides. #ationa$e 2% &roper application is important! as is the use of gloves. #ationa$e 3% Sun protection is no more necessary than usual. #ationa$e 4% Antifungal creams are not effective with scabies or lice.
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%$o&a$ #ationa$e: Co'niti(e )e(e$: ;nderstanding C$ient *eed: &hysiological 'ntegrity C$ient *eed Su&: *ursin'/+nte'rated Con!epts: (ursing &rocess% -valuation )earnin' ,ut!ome: )*+$ Question 18 Type: MCMA A clientEs medical record reveals presence of an erythematous urticaric rash with pruritus. What assessment findings would the nurse e:pect? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. The area of the rash is red. 2. The area has a raised! bumpy te:ture. 3. The area involved is warm to the touch. 4. The area itches. . The area is scaly. Corre!t Ans"er: "!.!) #ationa$e 1% -rythema refers to redness often associated with skin rashes. #ationa$e 2% ;rticaria refers to hives which present as raised >bumps.? #ationa$e 3% This may be the case! but the nurse would not e:pect that from the description given. #ationa$e 4% &ruritus is itching. #ationa$e % While pruritus is often associated with scaly skin! there is nothing in the description that indicates the area is scaly. %$o&a$ #ationa$e: Co'niti(e )e(e$: Applying C$ient *eed: &hysiological 'ntegrity C$ient *eed Su&: &hysiological Adaptation *ursin'/+nte'rated Con!epts: (ursing &rocess% Assessment
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)earnin' ,ut!ome: )*.A Question 1/ Type: MCMA A client calls the clinic and asks the nurse how to treat a skin in ury. What <uestions should the nurse ask prior to formulating a response? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. >9ow deep is the in ury?? 2. >9ow large is the in ured area?? 3. >9ow did the in ury happen?? 4. >7id the in ury happen over # hours ago?? . >Where is the in ury?? Corre!t Ans"er: "!.!#!$ #ationa$e 1% The depth of in ury is important in determining if treatment should be topical! systemic! or both. #ationa$e 2% Si1e of skin in ury is important in determining if the treatment should be topical! systemic! or both. #ationa$e 3% The mechanism of in ury is important in determining the potential for the in ury to become infected. #ationa$e 4% There is no specific length of time that would change therapy. #ationa$e % The position of the in ury is important in determining potential for infection. %$o&a$ #ationa$e: Co'niti(e )e(e$: Applying C$ient *eed: &hysiological 'ntegrity C$ient *eed Su&: &hysiological Adaptation *ursin'/+nte'rated Con!epts: (ursing &rocess% Assessment )earnin' ,ut!ome: )*.$ Question 20 Type: MCMA A client has been prescribed permethrin 4(i:5 for the treatment of body mites. What medication information should the nurse provide?
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Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. >Make certain you get the "F lotion.? 2. >Cou should leave the lotion on your body for "/ minutes.? 3. >Cou should e:pect almost immediate relief from the itching.? 4. >Cou may feel some stinging or tingling while the lotion is being used.? . >Cou should not use this medication if you are sensitive to chrysanthemums.? Corre!t Ans"er: .!)!$ #ationa$e 1% The "F lotion is for head lice. This client should obtain the $F lotion. #ationa$e 2% The medication should be allowed to remain on the body for "/ minutes before removal. #ationa$e 3% 'tching is caused by the penetration of the skin by the mites. 't may persist up to . or # weeks. #ationa$e 4% Transient stinging or tingling is often noted with this medication. #ationa$e % &ermethrin is obtained from chrysanthemums. %$o&a$ #ationa$e: Co'niti(e )e(e$: Applying C$ient *eed: &hysiological 'ntegrity C$ient *eed Su&: &harmacological and &arenteral Therapies *ursin'/+nte'rated Con!epts: (ursing &rocess% 'mplementation )earnin' ,ut!ome: )*.G Question 21 Type: MCMA 8ice and body mites have been discovered in an elementary school population. Which instructions should the school nurse send home to parents? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. >Hbtain over+the+counter antiparasitic lotion and apply to your children according to label directions.? 2. >8ook for small bugs in your childrenEs hair or small ob ects attached to the hair shaft.?
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3. >8ook for bugs between fingers! under the arms! and in the pubic area.? 4. >Hpen the windows and doors of your house and let fresh air blow through to eliminate lice and mites in the home.? . >'f lice or mites are found! stuffed animals should be washed or sealed in an airtight bag for . weeks.? Corre!t Ans"er: .!$ #ationa$e 1% 'f children do not have lice or mites treatment is not necessary. #ationa$e 2% 8ice are small bugs that are found in the hair. The eggs or nits are small ob ects found attached to the hair shaft. #ationa$e 3% Mites are nearly invisible to the naked eye. The parents should look for signs of scratching or complaints of itching in these areas. #ationa$e 4% Iresh air will not eliminate the lice or mites. #ationa$e % &ersonal ob ects may harbor and spread the infestation to others or may re+infest the child. All ob ects should be washed! vacuumed! or sealed in plastic for . weeks. %$o&a$ #ationa$e: Co'niti(e )e(e$: Applying C$ient *eed: 9ealth &romotion and Maintenance C$ient *eed Su&: *ursin'/+nte'rated Con!epts: (ursing &rocess% 'mplementation )earnin' ,ut!ome: )*.$ Question 22 Type: MCMA A client has been prescribed tretinoin 4Avita5 for treatment of acne. Which medication information should the nurse provide? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. >'t will take several weeks for you to see improvement in your skin.? 2. >Cou should continue using your over+the+counter oil drying medication until you start to see effects from this medication.? 3. >Mild sun e:posure will help this medication work more effectively.?
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4. >Cou will likely notice redness and scaling of your skin while using this medication.? . >Continue to take the tetracycline previously prescribed for your cystic acne.? Corre!t Ans"er: "!) #ationa$e 1% 'nitial improvement may take )+* weeks! while ma:imum therapeutic benefit may take $+G months. #ationa$e 2% The client should avoid preparations that dry the skin. #ationa$e 3% The client should avoid direct e:posure to sunlight while using this medication. #ationa$e 4% Dedness and scaling are e:pected effects of this medication. #ationa$e % Additive phototo:icity can occur if tretinoin is used concurrently with tetracycline. %$o&a$ #ationa$e: Co'niti(e )e(e$: Applying C$ient *eed: &hysiological 'ntegrity C$ient *eed Su&: &harmacological and &arenteral Therapies *ursin'/+nte'rated Con!epts: (ursing &rocess% 'mplementation )earnin' ,ut!ome: )*.G Question 23 Type: MCSA A clientEs medical record reveals the diagnosis of tinea unguium. The nurse would assess which body part for this disorder? 1. The foot 2. The pubic area 3. The head 4. The nails Corre!t Ans"er: ) #ationa$e 1% Tinea pedis is athleteEs foot. #ationa$e 2% Tinea cruris or > ock itch? is located in the pubic area and groin. #ationa$e 3% Tinea capitis is ringworm of the scalp. #ationa$e 4% Tinea unguium is fungal infection of the nails.
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, ),Copyright ./") by &earson -ducation! 'nc.

%$o&a$ #ationa$e: Co'niti(e )e(e$: Applying C$ient *eed: &hysiological 'ntegrity C$ient *eed Su&: &hysiological Adaptation *ursin'/+nte'rated Con!epts: (ursing &rocess% Assessment )earnin' ,ut!ome: )*.$ Question 24 Type: MCSA A client has lice infestation of the eyelids. What instruction should the nurse provide? 1. >7ilute the permethrin lotion with water before applying it to your eyelids.? 2. >These lice should be pulled off manually.? 3. >Apply a thin coat of petroleum elly to your eyelashes once a day for a week.? 4. >The systemic effect of the lotion you are using on your hair will kill these lice! so no specific treatment is necessary.? Corre!t Ans"er: # #ationa$e 1% &ermethrin should not be used on the eyelids. #ationa$e 2% While removing the lice manually will work! it is not the best solution to the problem. #ationa$e 3% The petroleum elly will kill the lice which can then be removed by combing. #ationa$e 4% Specific treatment is necessary. %$o&a$ #ationa$e: Co'niti(e )e(e$: Applying C$ient *eed: &hysiological 'ntegrity C$ient *eed Su&: &harmacological and &arenteral Therapies *ursin'/+nte'rated Con!epts: (ursing &rocess% 'mplementation )earnin' ,ut!ome: )*.A Question 2 Type: MCSA A client has been prescribed /."F tacrolimus 4&rotopic5 for treatment of severe atopic dermatitis. The nurse would evaluate that medication teaching is successful when the client makes which statement? 1. >' could use this for my "+year+old who also has atopic dermatitis.?
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, ),Copyright ./") by &earson -ducation! 'nc.

2. >' can use this ointment on an as needed basis for as long as ' wish.? 3. >' am at increased risk for skin cancer because ' am using this drug.? 4. >' cannot use this ointment on my face.? Corre!t Ans"er: # #ationa$e 1% This medication is not approved for use in children under age .. #ationa$e 2% This drug is generally used for short+term treatment of severe disease. #ationa$e 3% There is a small increase in risk of skin cancer when using this drug. #ationa$e 4% This medication can be used on the face and neck. %$o&a$ #ationa$e: Co'niti(e )e(e$: Analy1ing C$ient *eed: &hysiological 'ntegrity C$ient *eed Su&: &harmacological and &arenteral Therapies *ursin'/+nte'rated Con!epts: (ursing &rocess% -valuation )earnin' ,ut!ome: )*.$

Adams, Pharmacology for Nurse: A Pathophysiologic Approach, ),Copyright ./") by &earson -ducation! 'nc.